Berk, Justin

Berk, Justin was paid $95K by Medicaid between Oct 2019 and Jun 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.

33Billing provider infoBERK, JUSTIN
PROVIDENCE, RI 02905

33aNPI1245625300assigned 04/05/2015

33bProvider typeAddiction Medicine (Internal Medicine) Physician

28Total paid$95K

24GClaims1,246

24DCodes billed8

24AFirst – last monthOct 2019 – Jun 2024

Compared with peers

Next to other Addiction Medicine (Internal Medicine) Physician providers in Rhode Island

Rank by total paid#4 of 8

Median peer was paid$64K

This provider vs. median1.5×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2019	37	$322.97
2020	446	$31K
2021	461	$37K
2022	188	$16K
2023	61	$6K
2024incomplete	53	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	73%	793	743	$69K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	12%	93	86	$12K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	8.0%	250	238	$8K
99235		2.9%	13	12	$3K
99238	Hospital discharge day management, 30 minutes or less	2.6%	29	29	$2K
90472	Immunization administration, each additional vaccine (list separately)	<1%	33	30	$843.20
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	13	13	$645.93
90686		<1%	22	12	$11.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.